Total Eye Care Clinic of Philadelphia, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

503 Issued in MS

Legal business name

TOTAL EYE CARE CLINIC OF PHILADELPHIA, INC

Practice address

1003 E Main St
Philadelphia, MS 39350-2307

Phone

(601) 656-2688

Fax

(601) 656-8454

NPI assigned

Apr 11, 2007

Last updated

Apr 8, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tommy L Latimer

Title

Doctor

Phone

(601) 656-2688

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1437372885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 E MAIN ST",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502307",
            "telephone_number": "601-656-2688",
            "fax_number": "601-656-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E MAIN ST",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502307",
            "telephone_number": "601-656-2688",
            "fax_number": "601-656-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL EYE CARE CLINIC OF PHILADELPHIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "LATIMER",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "601-656-2688",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087927",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Elizabeth Thompson, DO
• Harold D Thompson
• Angela V Thornton, SLP
• Brenda Thrash, FNP
• Marcy Tingle, RPH
• Jessica Tucker, FNP
• Holly Tullos, RN
• Tanya Wilson Tullos, NP-C
• Two Cousins Transportation LLC,
• Roy Oswald Vandevender

• Optometrist in Philadelphia, MS
• Providers in Philadelphia, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.